NCT03941834

Brief Summary

The purpose of this study is to evaluate the efficacy of BHV3000 compared to placebo for subjects with treatment refractory Trigeminal Neuralgia as measured by a 2-point or greater reduction in the average Numeric Pain Rating Scale between the two-week treatment phases.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
65

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Jun 2019

Typical duration for phase_2

Geographic Reach
1 country

20 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 29, 2019

Completed
9 days until next milestone

First Posted

Study publicly available on registry

May 8, 2019

Completed
2 months until next milestone

Study Start

First participant enrolled

June 25, 2019

Completed
3.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 11, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 11, 2023

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

June 10, 2024

Completed
Last Updated

June 10, 2024

Status Verified

May 1, 2024

Enrollment Period

3.9 years

First QC Date

April 29, 2019

Results QC Date

May 7, 2024

Last Update Submit

June 7, 2024

Conditions

Keywords

Trigeminal Neuralgia, Pain

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in the Average Daily Pain Score on Numeric Pain Rating Scale (NPRS) at 2 Week Treatment Phase: DBT Phase

    NPRS is an 11-point scale ranging from 0 (no pain) to 10 (worst pain imaginable), higher scores represent worse pain. Participants daily recorded their average pain level over a 24-hour period on NPRS. Pain score was the average of the daily 11-point NPRS recorded within each period. Average of pain score on NPRS according to treatment received in first or second treatment period of DBT phase are used for evaluation of the outcome measure.

    DBT Phase: Baseline (before dose on Day 1), 2 Weeks Treatment

Secondary Outcomes (9)

  • Number of Participants With All-Causality Serious Adverse Events (SAEs), Adverse Events (AEs) Leading to Study Drug Discontinuation and Treatment Related AEs: DBT Phase

    DBT Phase: Day 1 of dosing up to last day of dosing (up to 5 weeks)

  • Number of Participants With Any Change From Baseline in Sheehan Suicidality Tracking Scale (S-STS) Scores: DBT Phase

    DBT Phase: Baseline, 2 Weeks Treatment

  • Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities: DBT Phase

    DBT Phase: Day 1 of dosing up to last day of dosing (up to 5 weeks)

  • Number of Participants With Clinically Significant Laboratory Abnormalities: DBT Phase

    DBT Phase: Day 1 of dosing up to last day of dosing (up to 5 weeks)

  • Change From Baseline in Penn Facial Pain Scale-Revised (Penn-FPS-R) Total Score at 2 Week Treatment Phase: DBT Phase

    DBT Phase: Baseline, 2 Weeks Treatment

  • +4 more secondary outcomes

Study Arms (2)

BHV3000

ACTIVE COMPARATOR
Drug: Rimegepant

Placebo

PLACEBO COMPARATOR
Drug: Placebo

Interventions

BHV3000 (rimegepant) 75mg tablet

BHV3000

Placebo

Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subjects with a clinical diagnosis of typical or atypical classical trigeminal neuralgia based on the International Classification of Headache Disorders, 3rd edition, beta version.
  • Trigeminal neuralgia symptoms for a minimum of 8 weeks prior to randomization visit.
  • Neuroimaging to exclude another cause for the neuralgia, other than neurovascular compression.

You may not qualify if:

  • Subject has a structural lesion on neuroimaging, other than vascular compression of the trigeminal nerve or nerve root that would explain the neuralgia
  • Subject has a clinically evident neurologic deficit on neurologic exam of the cranial nerves
  • Subjects with a history of HIV disease
  • Subject history with current evidence of uncontrolled, unstable or recently diagnosed cardiovascular disease, such as ischemic heart disease, coronary artery vasospasm, and cerebral ischemia. Subjects with Myocardial Infarction (MI), Acute Coronary Syndrome (ACS), Percutaneous Coronary Intervention (PCI), cardiac surgery, stroke or transient ischemic attack (TIA) during the 6 months prior to screening
  • Uncontrolled hypertension (high blood pressure) at screening
  • Subject has a current diagnosis of major depression, other pain syndromes, psychiatric conditions (e.g., schizophrenia), dementia, or significant neurological disorders (other than migraine) that, in the Investigator's opinion, might interfere with study assessments
  • Subject has a history of gastric, or small intestinal surgery (including Gastric Bypass, Gastric Banding, Gastric Sleeve, Gastric Balloon, etc.), or has a disease that causes malabsorption
  • Subject has a history or diagnosis of Gilbert's Syndrome or any other active hepatic or biliary disorder
  • The subject has a history or current evidence of any significant and/or unstable medical conditions (e.g., history of congenital heart disease or arrhythmia, known suspected infection, hepatitis B or C, or cancer) that, in the investigator's opinion, would expose them to undue risk of a significant adverse event (AE) or interfere with assessments of safety or efficacy during the course of the trial
  • History of, treatment for, or evidence of, alcohol or drug abuse within the past 12 months or subjects who have met DSM-V criteria for any significant substance use disorder within the past 12 months from the date of the screening visit
  • Hematologic or solid malignancy diagnosis within 5 years prior to screening. Subjects with a history of localized basal cell or squamous cell skin cancer are eligible for the study if they are cancer-free prior to the screening visit in this study.
  • Hematologic or solid malignancy diagnosis within 5 years prior to screening. Subjects with a history of localized basal cell or squamous cell skin cancer are eligible for the study if they are cancer-free prior to the screening visit in this study.
  • Body mass index \>33kg/m²
  • History of gallstones or cholecystectomy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (20)

Gilbert Neurology Partners, PLLC/CCT Research

Gilbert, Arizona, 85297, United States

Location

Center for Neurohealth DBA Kaizen Brain Center

La Jolla, California, 92037, United States

Location

Imaging Clinic at Stanford Neuroscience Health Center

Palo Alto, California, 94304, United States

Location

Stanford Hoover Pavilion

Palo Alto, California, 94304, United States

Location

Stanford Neuroscience Health Center- SNHC Pharmacy

Palo Alto, California, 94304, United States

Location

Stanford Neuroscience Health Center

Palo Alto, California, 94304, United States

Location

Stanford University- CAM Building

Stanford, California, 94305, United States

Location

SouthCoast Research Center

Miami, Florida, 33136, United States

Location

Ochsner Baptist Medical Center

New Orleans, Louisiana, 70115, United States

Location

Johns Hopkins Clinical Outpatient Center

Baltimore, Maryland, 21287, United States

Location

Johns Hopkins ICTR Clinical Research Unit (CRU)

Baltimore, Maryland, 21287, United States

Location

Clinical Research Professionals

Chesterfield, Missouri, 63005, United States

Location

Dent Neurosciences Research Center

Amherst, New York, 14226, United States

Location

Neurological Surgery Practice of Long Island PLCC

Lake Success, New York, 11042, United States

Location

Neurological Surgery

Lake Success, New York, 11042, United States

Location

Premier Cardiolog Consultants

Lake Success, New York, 11042, United States

Location

Premier Cardiolog Consultants

New Hyde Park, New York, 11042, United States

Location

Premier Cardiology Consultants

New Hyde Park, New York, 11042, United States

Location

North Suffolk Neurology, PC

Port Jefferson Station, New York, 11776, United States

Location

Neurology Diagnostics Inc.

Dayton, Ohio, 45459, United States

Location

Related Links

MeSH Terms

Conditions

Trigeminal NeuralgiaPain

Interventions

rimegepant sulfate

Condition Hierarchy (Ancestors)

Trigeminal Nerve DiseasesFacial NeuralgiaFacial Nerve DiseasesMouth DiseasesStomatognathic DiseasesCranial Nerve DiseasesNervous System DiseasesNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Pfizer ClinicalTrials.gov Call Center
Organization
Pfizer Inc.

Study Officials

  • Pfizer CT.gov Call Center

    Pfizer

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 29, 2019

First Posted

May 8, 2019

Study Start

June 25, 2019

Primary Completion

May 11, 2023

Study Completion

May 11, 2023

Last Updated

June 10, 2024

Results First Posted

June 10, 2024

Record last verified: 2024-05

Data Sharing

IPD Sharing
Will share

Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

More information

Locations